NPI | 1124066469 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY JOHNSEN Chief Operating Officer 501-622-1108 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR AR4060) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2007-08-20 |